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    OpenPayerNPI Medicare & MedicaidShc 2021 LLC
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    Shc 2021 LLC — Billing Profile & Reimbursement Data

    NPI 1912573965 · Sidney, MT · Air Ambulance

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    Shc 2021 LLC is a air ambulance provider located in Sidney, Montana. This profile covers 2 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationShc 2021 LLC
    Address544 Airport Rd
    CitySidney
    StateMT
    ZIP59270
    TaxonomyAir Ambulance
    NPI EnumeratedJune 1, 2021

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$42.4K

    Key Findings

    SHC 2021 LLC is an air-ambulance operator focused on fixed-wing transports: its Medicare billing is dominated by A0430 (Ambulance service, conventional air services, transport, one way (fixed wing)) and A0435 (Fixed wing air mileage, per statute mile), and the same two codes drive its Medicaid billing. The presence of both high-dollar one-way transports (A0430) and very high-volume mileage lines (A0435) indicates an operation that combines episodic long-distance transports with extensive mileage-based billing rather than a mixed ground/air portfolio.

    Revenue is highly concentrated across both payers: the platform’s precomputed data shows the top 3 Medicare codes account for 100.0% of total Medicare revenue and the top 3 Medicaid codes account for 100.0% of total Medicaid revenue. This concentration implies limited service-line diversity, with Medicare revenue ($1.2M) and Medicaid revenue ($42.4K) largely derived from the same fixed-wing code set.

    Medicare revenue composition shows a split between a relatively small number of high-dollar transports and a large volume of low-dollar mileage claims: A0430 accounts for $722.1K (58.6% of Medicare revenue) from 171 claims at $4223 avg paid/claim, while A0435 accounts for $510.6K (41.4% of Medicare revenue) from 42.6K claims at $12 avg paid/claim. This pattern suggests the provider realizes the majority of Medicare dollars from fewer, high-paid flights and the remainder from extensive per-mile billing.

    Competitive standing on Medicare is modestly above many peers nationally: A0430 ranks #17 of 92 providers (82th percentile) and A0435 ranks #16 of 92 providers (84th percentile), which the source characterizes as "typical, unremarkable volume for this code." Those rankings place SHC 2021 LLC above the median in national fixed-wing billing volume but not as a dominant outlier among air ambulance providers.

    On Medicaid, the same codes appear but at very small absolute scale: A0430 and A0435 each show 12 claims, yielding $22.1K and $20.3K revenue respectively, and the provider ranks #6 of 6 in-state (0th percentile) for both codes. Despite the in-state rank, the data labels these volumes as "typical, unremarkable volume," indicating that within Montana’s small cohort of fixed-wing Medicaid billers SHC 2021 LLC is reporting minimal Medicaid activity relative to its Medicare footprint.

    Payer mix is effectively Medicare-dominant: total Medicare revenue of $1.2M dwarfs total Medicaid revenue of $42.4K, signaling that commercial and Medicare business (or Medicare-supported transports) are likely the primary revenue drivers while Medicaid is a very small component of overall billing. Analysts should treat SHC 2021 LLC as a provider whose financial exposure and competitive positioning will be most visible in Medicare datasets.

    Operational implications follow from code-level reimbursements: A0430’s high avg paid/claim ($4223 Medicare; $1845 Medicaid) versus A0435’s low Medicare avg ($12) but much higher Medicaid avg ($1690) suggests payer-specific pricing and payment-policy effects on per-claim economics. This divergence means profitability per encounter likely varies substantially by payer and by whether revenue is mileage-driven or an episode-of-care transport.

    The provider’s NPI was enumerated on 2021-06-01 (~5 years ago), indicating relatively recent market entry. Given the concentrated code mix and the billing scale, this tenure suggests SHC 2021 LLC established a focused fixed-wing transport operation quickly but has not diversified services or grown Medicaid volume materially since enumeration.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)170$4,220$722.1K
    A0435Fixed wing air mileage, per statute mile42,550$10$510.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430210120$4,210$610K
    A043521029,350$10$391.4K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)10$1,850$22.1K
    A0435Fixed wing air mileage, per statute mile10$1,690$20.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)6101,080$1,310$1.2M
    A0435Fixed wing air mileage, per statute mile6101,080$1,000$956.2K

    Nearby Providers

    Other providers in the same ZIP code as Shc 2021 LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richland Opportunities IncorporatedMTDevelopmentally Disabled Services Day Training Agency$0$7.6M
    Sidney Health CenterMTClinic/Center$0$1.1M
    Prairie Hills Recovery CenterMTSubstance Use Disorder Rehabilitation Clinic/Center$0$820.6K
    Sidney Health CenterMTCritical Access Hospital$0$549.8K
    Sidney Eye Care PLLCMTOptometrist$0$447.7K
    Fink Dental CenterMTDental Clinic/Center$0$423.4K
    Sidney Health CenterMTEmergency Care Clinic/Center$0$415.3K
    Sidney Health CenterMTIn Home Supportive Care Agency$0$373.8K
    Sidney Public SchoolsMTCommunity/Behavioral Health Agency$0$326.6K
    Lincare IncMTDurable Medical Equipment & Medical Supplies$0$302K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Shc 2021 LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana
    Medicaid Revenue by Year vs. Montana Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Shc 2021 LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana